Gordon Sack MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GORDON SACK MD PA

Practice address

3339 Fairview St
Pasadena, TX 77504-1903

Phone

(713) 910-6464

Fax

(713) 910-6995

NPI assigned

Jan 20, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gordon Sack, MD

Title

Owner

Phone

(713) 910-6464

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1053642777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 FAIRVIEW ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041903",
            "telephone_number": "713-910-6464",
            "fax_number": "713-910-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 FAIRVIEW ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041903",
            "telephone_number": "713-910-6464",
            "fax_number": "713-910-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON SACK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-910-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Thalia Gonzalez, SLP
• Jessica Narvaez Gonzalez, LCSW
• Jesus Gonzalez Jr., RPH
• Rosalva Gonzalez, LPC
• Anaisa Gordillo
• Sonia Leigh Gornek, RD, LD
• Laurie Graham, CRC, LRC
• Patricia Ann Grantom, NP
• Kent Dwayne Gray, DC
• Stacy Trimble Grazak, P.T.

• General Practice Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.